What is the difference between an audiologist and an ENT specialist?

  • 18 May 2024
  • 5 min read
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If you have trouble hearing, an audiologist is a healthcare professional who tests your hearing, fits hearing aids, and helps with issues like tinnitus, while an ENT specialist is a medical doctor who treats ear, nose, and throat problems and can perform surgery. Experts say starting with an audiologist is often best, as they can identify the problem and refer you to an ENT if needed. In the U.S., there are about 13,000 audiologists and 15,000 ENT specialists, and studies show professional hearing care can improve understanding of speech by 30–40% compared to using generic sound amplifiers.

Capabilities of an Audiologist You Should Know

Audiologists are usually the first point of contact for any hearing-related concerns. They are mainly responsible for diagnosing and monitoring any type of hearing disorder, primarily issues pertinent to one’s auditory and vestibular systems. In other words, they should be consulted on matters of hearing damage or complete hearing loss. They can also help patients deal with auditory issues, including tinnitus and balance. In addition to offering support to their patients through the provision of medical hearing aids, they also assist them in improving their quality of life via counseling or communication training. In other words, audiologists mostly support patients with their hearing problems in non-intrusive ways.

If you’re curious about how professionals evaluate your hearing, learn about the hearing test process for a better understanding of what to expect during an appointment. In addition to offering support to their patients through the provision of medical hearing aids, they also assist them in improving their quality of life via counseling or communication training. Before getting fitted for a device, it’s important to understand all hearing aid tests that determine your specific hearing needs.

Capabilities of an ENT Specialist You Should Know

An ENT specialist (or otolaryngologist) is a doctor who treats problems with your ears, nose, and throat. They help patients with conditions like ear infections, sinusitis, sleep apnea, tonsillitis, and even certain cancers. Unlike audiologists, who mainly test hearing and provide hearing aids, ENT specialists can perform surgeries to fix hearing problems caused by infections, tumors, or other medical issues. Audiologists and ENT doctors often work together: an audiologist may refer you to an ENT for treatment, and an ENT may ask you to visit an audiologist to check your hearing progress.

Capabilities of an ENT Specialist

Signs You Should See an Audiologist Immediately

If you are suffering from any type of hearing disorder, an audiologist is the first go-to medical practitioner for your needs. An audiologist plays a role in the diagnosis of a hearing condition, however, he/she seldom can prescribe any medication or administer therapeutics to patients. If the hearing loss is caused by any serious medical condition and is not a result of aging or exposure to loud noise, they usually suggest you consult an ENT specialist. So, when should you consult an audiologist? 

Consult an Audiologist in the following scenarios:

  • Excessive Buildup of Earwax: Although they can’t perform a surgical procedure, an audiologist can help you remove excess earwax that gets built up in the ears over time. 
  • Diagnosis of Hearing Problems: If you are experiencing any kind of hearing difficulties, reach out to an audiologist, who will help you diagnose the condition, the severity of the condition as well as the underlying factors that might have contributed to the hearing problem. 
  • Tinnitus: Some individuals experience a constant ringing/buzzing in their ears, which can be high-pitched at times, and therefore, cause significant discomfort. Such hearing issues, if not severe, are usually treated by an audiologist.
  • Age-induced Hearing Loss: When hearing loss is induced by age, it is usually corrected using a hearing aid. Generally, in such cases, no therapies are prescribed to the patients, or any surgical procedure is required. Therefore, an audiologist is perfectly capable of handling these cases.

Signs You Should See an ENT Specialist Immediately

If an audiologist thinks you need extra help, they may send you to an ENT doctor. The ENT can do more detailed tests to find out why your hearing isn’t working properly. If the problem is caused by something serious, like an ear infection or a small tumor, the ENT can treat it with medicine or surgery to help you hear better.

Consult an ENT Specialist in the following scenarios:

  • Otosclerosis: This condition is also termed as fused bones, and results in hardening of bones inside the ear. This is usually a consequence of bone growth within the ear. Surgery by an ENT doctor is the most favorable treatment option for this condition.
  • Sensorineural Hearing Loss: People who experience sudden sensorineural hearing loss are usually not suitable candidates for conventional medical therapies or hearing devices. They need a thorough examination by an ENT doctor to check for the possibility of a severe infection or the presence of benign tumors.
  • Ear Injuries/Head Trauma: If the hearing damage is induced by a head injury, an ENT specialist should be consulted for suitable diagnosis and treatment. 
  • Ototoxicity: Certain medications used for the treatment of cancer or serious heart ailments, can also cause loss of hearing. Such type of hearing loss is also overseen by an ENT specialist. 
  • Balance: Balance-related issues, which are usually caused due to erratic movement of the base of the skull are evaluated by an ENT doctor. 
  • Hearing Problems in Pediatric Population: As hearing loss in children is likely to be a consequence of a genetic disorder, an infection, or allergies, they need sophisticated and thorough evaluation by an ENT specialist before treatment.

Although both ENT doctors and audiologists work together in most cases, they offer different levels of expertise when it comes to treating hearing-related conditions. An audiologist is often touted as a high-level hearing expert, whereas, an ENT deals with much more complex hearing issues induced by underlying medical conditions. Further, an audiologist often follows a non-intrusive approach to treating hearing loss (through hearing aids), while an ENT specialist can prescribe medications, as well as perform surgeries if required. Now, the next time you face any hearing problem, make sure you contact the right medical professional to help you efficiently deal with it.

Audiologist vs ENT Specialist: A Comprehensive Comparison Guide

Understanding the Key Differences Between Hearing Healthcare Professionals

FeatureAudiologistENT Specialist (Otolaryngologist)
Professional TitleHealthcare professional specializing in hearingMedical doctor specializing in ear, nose, and throat
Number in U.S.Approximately 13,000Approximately 15,000
Primary FocusDiagnosing and monitoring hearing disorders; auditory and vestibular systemsTreating medical conditions of ears, nose, and throat; can address underlying causes
Treatment ApproachNon-intrusive methods (hearing aids, counseling, communication training)Can prescribe medications and perform surgical procedures
First Point of ContactOften the first professional to see for hearing concernsUsually consulted after audiologist referral or for complex medical issues
Diagnostic CapabilitiesHearing tests and assessments Audiograms Tinnitus evaluation Balance disorder testingComprehensive medical examinations Advanced diagnostic testing Identification of underlying medical causes
Prescribing AuthorityCannot prescribe medicationsCan prescribe medications
Surgical CapabilitiesCannot perform surgeryCan perform surgical procedures
Common Conditions TreatedAge-induced hearing loss Tinnitus (non-severe) Excessive earwax buildup General hearing difficulties Balance issues (assessment)Otosclerosis (fused bones) Sensorineural hearing loss (sudden) Ear infections Sinusitis Sleep apnea Tonsillitis Tumors (benign/cancerous) Ear injuries/head trauma Ototoxicity (medication-induced hearing loss) Pediatric hearing problems Balance disorders (skull base issues)
Services ProvidedHearing aid fitting and programming Hearing assessments Earwax removal (non-surgical) Tinnitus management Communication training CounselingMedical treatment Surgical interventions Medication prescriptions Treatment of infections Tumor removal Complex diagnostic procedures
Referral PatternRefers patients to ENT when medical/surgical intervention neededMay refer patients to audiologist for hearing testing and hearing aid management
Level of ExpertiseHigh-level hearing expertHandles complex hearing issues with underlying medical conditions
Improvement RateProfessional hearing care can improve speech understanding by 30-40% compared to generic amplifiersTreats medical causes that may restore or improve hearing through intervention
When to See ThemRoutine hearing problems Need for hearing aids Noise or age-related hearing loss Non-severe tinnitus Earwax removalSuspected serious medical conditions Sudden hearing loss Head/ear injuries Medication-related hearing loss Pediatric hearing issues Need for surgery Infections or tumors
Collaborative RoleWorks with ENT specialists; provides ongoing hearing care and monitoringWorks with audiologists; treats medical causes and performs necessary procedures

Conclusion

Audiologists and ENT specialists both play important roles in keeping your hearing healthy, but they focus on different aspects. An audiologist is usually the first professional to consult for hearing tests, hearing aids, and non-invasive treatments, while an ENT specialist handles medical conditions, infections, and surgeries related to the ears, nose, and throat. Working together, these professionals ensure you get the right care at the right time, improving your hearing and overall quality of life. If you notice any hearing issues, consulting the appropriate expert promptly can make a big difference in treatment and recovery.

FAQ

1. What does an audiologist do?
An audiologist tests your hearing, helps fit hearing aids, and treats issues like tinnitus or balance problems. They mainly use non-invasive methods to improve your hearing.

2. What does an ENT specialist do?
An ENT doctor treats ear, nose, and throat problems, including infections, tumors, and sinus issues. They can prescribe medicine and perform surgeries if needed.

3. When should I see an audiologist?
See an audiologist for routine hearing problems, age-related hearing loss, tinnitus, or earwax buildup. They can test your hearing and suggest hearing aids if needed.

4. When should I see an ENT specialist?
Visit an ENT if you have ear infections, sudden hearing loss, head or ear injuries, medication-related hearing problems, or need surgery for hearing issues.

5. Can an audiologist perform surgery?
No, audiologists cannot perform surgery or prescribe medications. They focus on hearing tests, hearing aids, and non-surgical treatment.

6. Can an ENT specialist fit hearing aids?
ENT specialists usually do not fit hearing aids, but they may refer you to an audiologist to help with hearing devices and ongoing hearing care.

7. Do audiologists and ENT doctors work together?
Yes, they often collaborate. Audiologists may refer patients to ENTs for medical treatment, and ENTs may send patients to audiologists for hearing assessments and device fitting.

8. Can professional hearing care improve hearing?
Yes, studies show professional hearing care can improve speech understanding by 30–40% compared to generic sound amplifiers, ensuring better hearing and quality of life.